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Making the case for Health and Social Protection. Claire Bolderson and Elizabeth Pisani GIZ regional meeting Accra, Ghana, May 2014. The development food chain. (Taxpayers) Rich governments, philanthropists UN organisations and Global initiatives International NGOs and poor governments
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Making the case for Health and Social Protection Claire Bolderson and Elizabeth Pisani GIZ regional meetingAccra, Ghana, May 2014
The development food chain (Taxpayers) Rich governments, philanthropists UN organisations and Global initiatives International NGOs and poor governments National NGOs and competing ministries (Beneficiaries)
Development programmes have to work on four levels: • Does it work technically? (efficacy) • Does it work behaviourally? (effectiveness) • Does it work politically? (feasibility) • Can we afford it? (feasibility)
junkies Shopping that puts junkies first Save the junkies
It’s the incentives, stupid… • NEPs in Thatcher’s UK (Clinton didn’t do it!) • Methadone in China (vs Russia’s democratic paralysis) • 100 pct condom under Thai military rule (vs populist Taksin’s assault on IDU) • Prison programmes in Iran (ahead of the UK on that one)
What Policy Makers want • Broader visibility …. enhances influence amongst policy makers • The primary constraint policymakers face is lack of time. • Policymakers pay as much attention to newspapers as togovernment reports.
“Social” Media • Gr8 talking to @mrssmith at launch of #vaccinesforall last night, #GIZAccra proud to be involved @healthyDEvs
You need to make a case • For investing in health and social protection • For investing development dollars in health/SP • For investing taxpayer dollars in other taxpayers’ health and protection • For investing in programmes which make the biggest difference to health and well-being (which may not be “health sector”)
AND you have to make a case or investing in GIZ as a provider of health services • (Besides a monopoly on bilateral aid from BMZ), What do GIZ health professionals have to offer that others don’t? • How can those services be adapted to the needs of different clients? • How might you minimise the obstacles to hiring GIZ health staff? • Could you spread health expertise through other programmes?